05D0990711 CLIA NUMBER - MOUNTAINVIEW ADULT DAY HLTH CARE INC

Laboratory Demographics

  • CLIA Code: 05D0990711
  • Facility Name: MOUNTAINVIEW ADULT DAY HLTH CARE INC
  • Facility Address: 23751-57 ROSCOE BLVD
    WEST HILLS, CA
    ZIP 91304
  • Facility Phone: 818 999-9234
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MIKHAIL MADIYEVSKY MD
  • NPI Number: 1487686671
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0990711
LAB Type Other
Facility Name MOUNTAINVIEW ADULT DAY HLTH CARE INC
Street 23751-57 ROSCOE BLVD
City WEST HILLS
State CA
ZIP 91304
Phone 818 999-9234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Other
Lab Director MIKHAIL MADIYEVSKY MD

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This page was last updated on: 9/29/2025